| NPI | 1336178268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 235668) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 18648) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-08-18 |